New Patient Intake Form
For your convenience...
Useful forms to complete prior to your visit. You may complete and submit these forms online, or print, complete and bring them with you to our office on or before your visit.
We look forward to seeing you soon!
Patient Medical History Form
Why use Cook Dentistry?
We strive to exceed your expectations by providing exceptional dental care.
High quality standards
We take the time to explain your options and work with you to enhance your confidence in our services.
Leading experts
We stay educated and informed with leading edge dental technology and techniques. We offer the newest ways to care for your dental needs.
Modern equipment
Modern advancements in dental equipment have made going to the dentist a comfortable and pain-free experience. We’re all about providing personalized dental care while using the latest dental tools.
Flexible prices
We consider your bottom line, care about you and respect your time and resources. You can expect scheduling of regular cleanings, screenings or X-rays. We'll help you navigate any costs associated with your dental health care plan.

